Stage I: Fixed Orthodontic therapy
In the upper arch the anterior segment was distalized using 2 mini
screws and in the lower arch, retraction was carried out using a sliding
technique with reverse curve 17x25 SS wire and power chains so as to
control the tipping of the upper and lower incisors (Figure 2). Class
III elastics were utilized to improve the anchorage on the lower arch.
The goal of orthodontics treatment was to reduce the proclination of the
upper and lower anterior teeth, close the diastema on the upper, make
the space on the lower smaller for prosthodontic intervention and
achieve good occlusion. After treatment, restorations were placed on the
3 mandibular incisors.